Ludwick Laser & Surgery Center, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Williamsport, MD
NPI 1447775770 · NPPES record last updated Aug 8, 2017
Key facts
- NPI
- 1447775770
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- LUDWICK LASER & SURGERY CENTER, LLC
- Practice address
- 10212 Governor Lane Blvd Unit 1004
Williamsport, MD 21795-4088 - Phone
- (301) 733-4200
- Fax
- (301) 223-7121
- NPI assigned
- Aug 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. David John Ludwick, M.D
- Title
- President
- Phone
- (717) 264-6560
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2105370 | Ludwick Laser and Surgery Center | Certificate of waiver | Nov 23, 2027 |
National Provider Directory
- Tax ID family
- Ludwick Laser and Surgery Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
10212 Governor Lane Blvd Unit 1004
Williamsport, MD 21795-4088
Mailing address
825 5TH Ave Ste 101
Chambersburg, PA 17201-4214
Phone (717) 262-9700
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All providers in Williamsport, MD · Ambulatory Surgical Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.